Individual
DONNICA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
527 TUSKEGEE AIRMAN AVENUE, BLDG 500, WICHITA FALLS, TX 76310
(940) 676-1000
(940) 676-1000
Mailing address
527 TUSKEGEE AIRMAN AVENUE, BLDG 500, WICHITA FALLS, TX 76310
(940) 676-1000
(940) 676-1000
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
2020023346
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730786682
TRICARE
MO
01
—
2020023346
MISSOURI LICENSE
MO
01
—
53-79656-062
KANSAS LICENSE
KS
Enumeration date
10/05/2020
Last updated
02/20/2024
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